To register, simply complete and submit the form below. By registering, you are guaranteed pricing that can’t be beat. A registered deal is only good for 90 days – after this time period it becomes open again to be registered by someone else. You can also re-register a deal to extend the time before the 90 days expires.

Please provide us with as much information as possible in case there are any disputes as to who has registration rights.

REGISTRATION DATA FIELDS:

* - Required data fields

Reseller Information:
Your Name*
Your Company Name*
Your Direct phone #*
Your Email*
End User (Lead) Information:
Company Name*
Mailing Address*
City/State/Zip*
Contact Name*
Title*
Direct phone #*
Email*
Product need*	Vault Vault-Journal Retrieve Comply
Number of users*
Estimated time to purchase*	1-30 days 30-90 days 90-120 days 120 + days
End user's interest level* Select one -- 1 (lowest) 2 3 4 5 6 7 8 9 10 (highest) 1 2 3 4 5 6 7 8 9 10
How did you promote the Trustworthy Appliance?*	In-Person Meeting Phone Conversation Email
Have you sold to this customer before?*	Yes No
If yes, how long have you been selling to this customer (in years)?
Are you working with a Bell Micro sales rep?*	Yes No
Yes (if yes name of Sales Rep)
Additional comments